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See a sample rate comparisonCPT 79101 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Radiopharmaceutical Therapy, By Intravenous Administration
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 79101 |
| Medicaid Fee Schedule | View Medicaid rates for 79101 |
National average reimbursement for CPT 79101 by major payers:
$184.27
$182.76
$185.22
$228.33
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CPT 79101
5 of 25 sample ratesHigher to lower in this preview
University Health Services,Inc, University Hospital
University Health Services Inc
$593.50Published rateDlp Frye Regional Medical Center LLC, Frye Regional Medical Center
$314.26Published rateBrittany Evernden
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$171.96Published rateMaureen Amilca
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$115.16Published rateLaura Zambetti
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$56.77Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 79101 vs. Other Nuclear Medicine Procedures Codes
The CPT 79101 code is part of the Radiology Procedures services used for Nuclear Medicine Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 79101 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 79005-CPT | Low | Radiopharmaceutical Therapy, By Oral Administration |
| 79101-CPT | Low | Radiopharmaceutical Therapy, By Intravenous Administration |
| 79200-CPT | Low | Intracavitary Radioact.Colloid Ther |
| 79300-CPT | Moderate | Radiopharmaceu Therap By Intersti Radioactive Colloid Admin, Radiopharmaceutical Therapy By Interstitial Radioactive Colloid Admin |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 79101. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 79101 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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